Theriot, Maxine A

Theriot, Maxine A is an individual health care provider with primary practice located at 3098 Oak Grove Rd , Poplar Bluff MO 63901-8938. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine. Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine is her primary health care specialty. Theriot, Maxine A can be contacted via phone (573) 686-8199.

Contact Information

Primary practice address
3098 Oak Grove Rd Poplar Bluff MO 63901-8938
Phone: (573) 686-8199
Fax: (573) 686-8398
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X J9578 Texas
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X J9578 Texas
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X 2022047286 Missouri

Profile Details

NPI number 1194874628
LBN Legal business name Theriot, Maxine A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Jul 13th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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